ONRR-4430 Solid Minerals Production and Royalty Report

U.S. Department of the Interior
Office of Natural Resources Revenue

OMB Control Number 1012-0010
OMB Approval Expires January 31, 2020

FOR ONRR USE ONLY

U.S. Department of the Interior
Office of Natural Resources Revenue
Solid Minerals Production and Royalty Report
Customer Name:
Customer Number:
Customer Document ID:
Mine Name:

Business Unit:
(Circle one)
Federal/State/Fee
-orIndian/State/Fee

Payment Due:
Original Data Total:
Other Financial Obligation Total:
Value & Volume Adjustment Total:
Credit Amount:
GRAND TOTAL:

Name of Preparer:
Signature of Preparer:

Payment Method (check one):
Electronic Funds Transfer
Check to ONRR
Indian Direct Pay
Indian Lockbox

$

<

>

Credit ID:

Date:
Phone Number:

The Paperwork Reduction Act of 1995 requires us to inform you that this information is being collected by the Office of Natural Resources Revenue from all Federal and Indian solid mineral
lessees. Responses are mandatory to obtain a benefit (30 CFR 1210.201). We estimate the burden is 26 minutes per report per month reporting electronically. Comments on the accuracy
of this burden estimate or suggestions on reducing this burden should be directed to the Information Collection Clearance Officer, MS 4230, Office of Natural Resources Revenue, 1849 C
Street, N.W., Washington, DC 20240. Proprietary information is protected by the Freedom of Information Act (5 U.S.C. 552 (b) (4), the Trade Secrets Act (18 U.S.C. 1832) and Department
regulations (43 CFR 2). An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB Control
Number.
Form ONRR-4430

Page 1

U.S. Department of the Interior
Office of Natural Resources Revenue

OMB Control Number 1012-0010
OMB Approval Expires January 31, 2020

Solid Minerals Production and Royalty Report
Original Data Lease Level Detail
Federal or
Indian
Lease Number

Sales
Month/
Year

Sales Point

Beginning
Inventory

Inventory/
Volume
Adjustment

Gross Proceeds
$

Product

Allowed
Transportation
Cost
$

Units
Produced

Units Transferred

Gross Proceeds

Allowed
Transportation
Cost

Allowed
Processing Costs
$
Production
Available
for Sale

Royalty Rate

Royalty Payment
Due
$

Units Sold

Ending Inventory

Royalty Rate

Royalty Payment
Due
$

Units Sold

Ending Inventory

Royalty Rate

Royalty Payment
Due
$

Units Sold

Ending Inventory

Royalty Rate

Royalty Payment
Due
$

Units Sold

Ending Inventory

Comments:
Federal or
Indian
Lease Number

Sales
Month/
Year

Sales Point

Beginning
Inventory

Inventory/
Volume
Adjustment

$

Product

$
Units
Produced

Units Transferred

Gross Proceeds

Allowed
Transportation
Cost

Allowed
Processing Costs
$
Production
Available
for Sale

Comments:
State
Lease Number

Sales
Month/
Year

Sales Point

Beginning
Inventory

Inventory/
Volume
Adjustment

$

Product

$
Units
Produced

Units Transferred

Gross Proceeds

Allowed
Transportation
Cost

Allowed
Processing Costs
$
Production
Available
for Sale

Comments:
Fee
Lease Number

Sales
Month/
Year

Sales Point

Beginning
Inventory

Inventory/
Volume
Adjustment

$

Product

$
Units
Produced

Units Transferred

Allowed
Processing Costs
$
Production
Available
for Sale

Comments:
Form ONRR-4430

Page 2

U.S. Department of the Interior

OMB Control Number 1012-0010
OMB Approval Expires January 31, 2020

Office of Natural Resources Revenue

Solid Minerals Production and Royalty Report
Mine Data Summary:
Sales
Month/Year

Units
Produced

Product

Gross
Proceeds

Units Sold
$
$
$
$
$

Totals:

Royalty
Payment

Total
Allowed Cost
$
$
$
$
$

$
$
$
$
$

Remote Data Summary:
Sales
Month/Year

Units
Produced

Product

Totals:

Gross
Proceeds

Units Sold
$
$
$
$
$

Royalty
Payment

Total
Allowed Cost
$
$
$
$
$

$
$
$
$
$

Other Financial Obligations Detail:
Other financial obligations are any payment obligations other than production royalty, e.g.; Recoupable Rent, Advance Royalty, Minimum
Royalty, Deferred Bonuses, and Minimum Royalty payable in advance.
Obligation
Due Date
(MMDDYY)

Lease
Number

Obligation
Type

Obligation
Amount

Total:
Form ONRR-4430

$
$
$
$
$
$
$
Page 3

U.S. Department of the Interior
Office of Natural Resources Revenue

Solid Minerals Production and Royalty Report
Value and Volume Adjustments

OMB Control Number 1012-0010
OMB Approval Expires January 31, 2020

Summary of Changes for the Mine:
Sales
Month/Year

Product

ONRR/Company Initiated?

Interest Bearing
(Yes/No)

Interest From
Date

Gross Proceeds
Net Change

Processing
Cost Net
Change

Transportation
Cost Net
Change

Units
Units
Federal or Indian
Produced Transferred Net Units Sold
Royalty Net
Change
Net Change
Net Change
Change

1

$

$

$

$

2

$

$

$

$

3

$

$

$

$

4

$

$

$

$

$

$

$

$

Totals:
Note: Totals for the mine (above) should equal totals for leases and properties (below).

Above Changes for Mine Affect These Leases and Properties:
Sales
Month/Year

Product

Federal or State Lease
Number or Fee Property

Gross Proceeds
Net Change

Transportation
Cost Net
Change

Processing Cost
Net Change

Units Produced
Net Change

Units
Transferred
Net Change

Units Sold
Net Change

Federal or Indian
Royalty Net
Change

1

$

$

$

$

2

$

$

$

$

3

$

$

$

$

4

$

$

$

$

5

$

$

$

$

6

$

$

$

$

7

$

$

$

$

8

$

$

$

$

9

$

$

$

$

10

$

$

$

$

11

$

$

$

$

12

$

$

$

$

13

$

$

$

$

14

$

$

$

$

15

$

$

$

$

16

$

$

$

$

$

$

$

$

Totals:
Do you have cascading changes?

Most changes to mine and lease volumes (lease production, transfers, sales) in one month will cause volume changes (to sales, transfers, lease allocations) in subsequent months
(cascading effect). Do any of the volume changes reported above cause changes in mine or lease-level inventories or lease-level allocation ratios for subsequent months? (Yes/No) _______
If the answer is "Yes," prepare another Volume and Value Adjustment page for each affected month. In all likelihood, you will need to submit volume adjustments for all months after
the month you reported changes for (above) through the most recent month for which you submitted original data.
Form ONRR-4430

Page 4

U.S. Department of the Interior
Office of Natural Resources Revenue

Solid Minerals Production and Royalty Report
Value and Volume Adjustments

OMB Control Number 1012-0010
OMB Approval Expires January 31, 2020

Summary of Changes for the Remote:
Sales
Month/Year

Product

ONRR/Company Initiated?

Interest Bearing
(Yes/No)

Interest From
Date

Gross Proceeds
Net Change

Processing
Cost Net
Change

Transportation
Cost Net
Change

Units
Units
Federal or Indian
Produced Transferred Net Units Sold
Royalty Net
Change
Net Change
Net Change
Change

1

$

$

$

$

2

$

$

$

$

3

$

$

$

$

4

$

$

$

$

$

$

$

$

Totals:

Note: Totals for the remote (above) should equal totals for leases and properties (below).

Above Changes for Remote Affect These Leases and Properties:
Sales
Month/Year

Product

Federal or State Lease
Number or Fee Property

Gross Proceeds
Net Change

Transportation
Cost Net
Change

Processing Cost Units Produced
Net Change
Net Change

Units
Transferred
Net Change

Units Sold
Net Change

Federal or Indian
Royalty Net
Change

1

$

$

$

$

2

$

$

$

$

3

$

$

$

$

4

$

$

$

$

5

$

$

$

$

6

$

$

$

$

7

$

$

$

$

8

$

$

$

$

9

$

$

$

$

10

$

$

$

$

11

$

$

$

$

12

$

$

$

$

13

$

$

$

$

14

$

$

$

$

15

$

$

$

$

16

$

$

$

$

$

$

$

$

Totals:
Do you have cascading changes?

Most changes to remote and lease volumes (lease production, transfers, sales) in one month will cause volume changes (to sales, transfers, lease allocations) in subsequent months
(cascading effect). Do any of the volume changes reported above cause changes in mine or lease-level inventories or lease-level allocation ratios for subsequent months? (Yes/No) _______
If the answer is "Yes," prepare another Volume and Value Adjustment page for each affected month. In all likelihood, you will need to submit volume adjustments for all months after
the month you reported changes for (above) through the most recent month for which you submitted original data.
Form ONRR-4430

Page 5